Organization
JM PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK M MANTIONE III DPT, CSCS (DOCTOR OF PHYSICAL THERAPY)
(212) 334-7441
Entity
Organization
Contact information
Practice address
55 WHITE ST APT 5A, NEW YORK, NY 10013-3580
(212) 334-7441
Mailing address
55 WHITE ST APT 5A, NEW YORK, NY 10013-3580
(212) 334-7441
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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